Laryssa Callan is a Specialist based in Hicksville, NY. Laryssa Callan practices in Hicksville, NY. The NPI Number for Laryssa Callan is 1699119248 and holds a License No. 693860 (New York).
The current practice location address for Laryssa Callan is 15 Fulton Ave, Hicksville, NY and can be reached out via phone at 516-342-9017.
Location: 15 Fulton Ave, Hicksville, NY, 11801-1954
Provider Profile Details
NPI Number
1699119248
Provider Name
Laryssa Callan
Credential
Provider Entity Type
Individual
Gender
Female
Address
15 Fulton Ave, Hicksville, NY, 11801-1954
Phone Number
516-342-9017
Fax Number
Provider Enumeration Date
04/25/2013
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1234 | 01 | NONE |
Provider Business Practice Location Address Details
Address
15 Fulton Ave
City
State
Zip
11801-1954
Phone Number
516-342-9017
Fax Number
Provider Business Mailing Address Details
Address
15 Fulton Ave
City
State
Zip
11801-1954
Phone Number
516-342-9017
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
693860 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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